Clinical trial • Phase III • Neurology

N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE for Narcolepsy Type 1 (Narcolepsy with Cataplexy)

Phase III trial of N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAM…

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Narcolepsy Type 1 (Narcolepsy with Cataplexy)
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
14-08-2025
First CTIS Authorization Date
27-11-2025

Trial design

open-label Phase III trial across 1 site in Italy.

Open Label
Yes
Biomarker Stratified
True, HLA-DQB1*06:02 status or CSF orexin/hypocretin-1 concentration (<110 pg/mL)
Target Sample Size
16

Eligibility

Recruits 16 paediatric patients.

Pregnancy Exclusion
Participant has a positive pregnancy test result at screening or is breastfeeding.
Vulnerable Population
Pediatric population (children aged 6 to 17 years). Consent is provided by parent or legal guardian; participants old enough to understand provide assent. The parent/legal guardian and participant (when applicable) must sign and date the ICF after reviewing the participant information sheet prior to protocol procedures.

Inclusion criteria

  • {"criterion_text":"- The participant has an ICSD-3 or ICSD-3-TR diagnosis of NT1."}
  • {"criterion_text":"- Male or female participants aged 6 to 17 years, inclusive, at the time of signing the ICF."}
  • {"criterion_text":"- The participant has a body mass index within the range 18 to 30 kg/m2"}
  • {"criterion_text":"- The participant is positive for the human leukocyte antigen (HLA) genotype HLA-DQB1*06:02 or results from radioimmunoassay indicate the participant’s CSF OX/hypocretin-1 concentration is <110…pg/mL"}
  • {"criterion_text":"- The participant is judged by the investigator to be sufficiently healthy to participate in the trial based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign measurements performed at the screening visit and before the first dose of trial intervention."}
  • {"criterion_text":"- Parent or legal guardian – and participants old enough to understand - have expressed a willingness to participate in and complete the trial and signed and dated the ICF after getting acquainted with the participant’s information sheet, prior to beginning protocol-required procedures."}

Exclusion criteria

  • {"criterion_text":"- Participant is unable to refrain from using excluded medications"}
  • {"criterion_text":"- The participant has a positive urine screen result for drugs of abuse and/or positive alcohol test result at screening or at Day -1."}
  • {"criterion_text":"- Participant has a positive pregnancy test result at screening or is breastfeeding."}
  • {"criterion_text":"- Participant has a known hypersensitivity to any component of the formulation of oveporexton or related compounds."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Maximum observed concentration (Cmax). Time to reach maximum observed concentration (tmax). Area under the concentration-time curve from time 0 to infinity (AUC∞), calculated using the observed value of the last quantifiable concentration.","definition_or_measurement_approach":"Plasma pharmacokinetic (PK) parameters measured in plasma: Cmax, Tmax, and AUC∞ calculated using observed last quantifiable concentration."}

Secondary endpoints

  • {"endpoint_text":"- Occurrence of at least 1 TEAE.","definition_or_measurement_approach":"Safety assessed by incidence of treatment-emergent adverse events (TEAEs)."}
  • {"endpoint_text":"- Participants rating acceptability and palatability.","definition_or_measurement_approach":"Acceptability/palatability assessed by the Acceptability/Palatability Questionnaire."}

Recruitment

Planned Sample Size
16
Recruitment Window Months
3
Consent Approach
Consent obtained from parent or legal guardian; participants old enough to understand provide assent. The parent/legal guardian and participant (when applicable) must sign and date the informed consent form (ICF) after reviewing the participant information sheet prior to protocol-required procedures. No specific languages or additional consent logistics are specified.

Geography

Total Number Of Sites
1
Total Number Of Participants
16

Italy

Earliest CTIS Part Ii Submission Date
03-11-2025
Latest Decision Or Authorization Date
27-11-2025
Processing Time Days
24
Number Of Sites
1
Number Of Participants
16

Sites

Site Name
Azienda Unita Sanitaria Locale Di Bologna
Department Name
UOC Neurological Clinic
Principal Investigator Name
Giuseppe Plazzi
Principal Investigator Email
giuseppe.plazzi@unibo.it
Contact Person Name
Giuseppe Plazzi
Contact Person Email
giuseppe.plazzi@unibo.it
Number Of Participants
16

Sponsor

Primary sponsor

Full Name
Takeda Development Center Americas Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Signant Health Global LLC
Responsibilities
eCTP
Name
Cogstate Limited
Responsibilities
Cognitive Testing
Name
PPD Development LP
Responsibilities
PK
Name
Eresearchtechnology Inc.
Responsibilities
ECG analysis/review
Name
PPD Global Central Labs
Responsibilities
Safety labs
Name
Pharmaceutical Product Development LLC

Third parties

  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"eCTP","organisation_type":"Pharmaceutical company"}
  • {"country":"Australia","full_name":"Cogstate Limited","duties_or_roles":"Cognitive Testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"PK","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ECG analysis/review","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"Safety labs","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
TAK-861
Active Substance
N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised
Orphan Designation
Yes
Investigational Product Name
TAK-861
Active Substance
N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised
Orphan Designation
Yes
Investigational Product Name
TAK-861
Active Substance
N-{(2S,3R)-4,4-DIFLUORO-1-(2-HYDROXY-2-METHYLPROPANOYL)-2-[(2,3',5'-TRIFLUORO[1,1'-BIPHENYL]-3-YL)METHYL]PYRROLIDIN-3-YL}ETHANESULFONAMIDE
Modality
Small molecule
Routes Of Administration
Oral
Route
Oral
Authorisation Status
Authorised
Orphan Designation
Yes

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